Individual
MARIA ALLEN-JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3044 BRECKENRIDGE LN STE 203, LOUISVILLE, KY 40220-3100
(502) 438-2240
(502) 873-0062
Mailing address
3044 BRECKENRIDGE LN STE 203, LOUISVILLE, KY 40220-3100
(502) 438-2240
(502) 873-0062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
130742
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550001
—
MD
05
—
609550004
—
MD
Enumeration date
09/12/2007
Last updated
08/12/2019
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